Individual
DOROTHY DVORACHEK LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2600 WARRENVILLE RD STE 205, DOWNERS GROVE, IL 60515-1761
(630) 426-1765
Mailing address
5830 LYMAN AVE, DOWNERS GROVE, IL 60516-1403
(630) 426-1765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.014916
IL
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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